Optimizing Frontline TKI Therapy in Advanced uHCC: Managing Adverse Events

Opinion
Video

An expert discusses how in the first-line (1L) treatment of advanced unresectable hepatocellular carcinoma (uHCC) with tyrosine kinase inhibitors (TKIs) such as lenvatinib or sorafenib, proactive adverse event (AE) management is crucial. This includes baseline assessment; regular monitoring of adverse effects such as hypertension, hand-foot syndrome, and fatigue; and implementing preventive strategies. Treatment should be individualized with dose modifications as needed to balance therapeutic efficacy with quality of life, particularly given the advanced disease state.

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      Video content above is prompted by the following:

      • When using systemic TKI as 1L treatment in advanced uHCC, what are important considerations during treatment implementation?
      • What are common AEs seen with the use of lenvatinib or sorafenib?
      • What is your approach to AE prevention, monitoring, and management?
      • What strategies can be implemented to address toxicity profiles with either therapy?
      • How do you balance treatment intensity/goals with maintaining quality of life, especially when patients have advanced-stage disease?

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